| NPI | 1699229948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHI NGUYEN Owner 734-658-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MI 5301010987) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2018-09-28 |